| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $20.27 | $20.27 | $20.27 | |
CareFirst
| Professional | $24.35 | $149.85 | $239.51 | |
Kaiser Permanente
| Professional | $47.54 | $47.54 | $47.54 | |
United
| Professional | $17.17 | $60.21 | $61.10 |